TEST BANK for Olds' Maternal-Newborn
Nursing & Women's Health Across the
Lifespan 12th Edition by Michele Davidson,
Marcia London
ALL CHAPTERS COVERED 1-36 WITH
VERIFIED Q&As WITH RATIONALES
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, TABLE OF CONTENTS
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, Chapter 1: Contemporary Maternal–Newborn Nursing
Question 1 Type: MCSA
The nurse is speaking to students about changes in maternal–newborn care. One change is that self-
care has gained wide acceptance with patients, the healthcare community, and third-party payers due
to research findings that suggest that it:
1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
Right Answer> 3
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as
well as physiologic stability of the mother and newborn. Home healthcare agencies often are
involved in patient care to decrease hospital stay time.
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay
time.
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by
those practicing self-care.
Question 2
In order to combat the impersonal nature of technology that sometimes interferes with family-
focused care, the nurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within the community for natural childbirth.
2. Make childbirth education classes available.
3. Be instrumental in providing change in the birth environment at work.
4. Suggest that doulas not be allowed to interfere with the childbirth process.
5. Advocate for more home healthcare agencies.
Right Answer> 1,2,3,5
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Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
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, Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide
childbirth classes for the expectant families.
Rationale 3: By working with other staff and doctors, the nurse is able to implement change as
needed within the birthing unit.
Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are
mainly there as a coach.
Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the
home.
Question 3
The nurse is telling a new patient how technology used in maternal–newborn care has changed the
way the nurse cares for her patients. An example of this is:
1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
2. Delivering at home with a nurse-midwife and doula.
3. Having the father present as the coach and cut the umbilical cord.
4. Breastfeeding of the new baby on the delivery table.
Right Answer> 1
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are
all recent technologies that have affected the care in labor and delivery areas.
Rationale 2: A nurse-midwife and a doula are not examples of technological care.
Rationale 3: Fathers‘ being present during labor and coaching their partners represents
nontechnological care during childbirth.
Rationale 4: Breastfeeding is not an example of technology impacting care.
Question 4
A nurse is examining different nursing roles. Which example best illustrates an advanced practice
nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
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4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for
high-risk infants
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er
Nursing & Women's Health Across the
Lifespan 12th Edition by Michele Davidson,
Marcia London
ALL CHAPTERS COVERED 1-36 WITH
VERIFIED Q&As WITH RATIONALES
TB
Ac
1|Page
er
, TABLE OF CONTENTS
TB
Ac
2|Page
er
, Chapter 1: Contemporary Maternal–Newborn Nursing
Question 1 Type: MCSA
The nurse is speaking to students about changes in maternal–newborn care. One change is that self-
care has gained wide acceptance with patients, the healthcare community, and third-party payers due
to research findings that suggest that it:
1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
Right Answer> 3
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as
well as physiologic stability of the mother and newborn. Home healthcare agencies often are
involved in patient care to decrease hospital stay time.
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay
time.
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by
those practicing self-care.
Question 2
In order to combat the impersonal nature of technology that sometimes interferes with family-
focused care, the nurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within the community for natural childbirth.
2. Make childbirth education classes available.
3. Be instrumental in providing change in the birth environment at work.
4. Suggest that doulas not be allowed to interfere with the childbirth process.
5. Advocate for more home healthcare agencies.
Right Answer> 1,2,3,5
TB
Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
Ac
3|Page
er
, Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide
childbirth classes for the expectant families.
Rationale 3: By working with other staff and doctors, the nurse is able to implement change as
needed within the birthing unit.
Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are
mainly there as a coach.
Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the
home.
Question 3
The nurse is telling a new patient how technology used in maternal–newborn care has changed the
way the nurse cares for her patients. An example of this is:
1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
2. Delivering at home with a nurse-midwife and doula.
3. Having the father present as the coach and cut the umbilical cord.
4. Breastfeeding of the new baby on the delivery table.
Right Answer> 1
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are
all recent technologies that have affected the care in labor and delivery areas.
Rationale 2: A nurse-midwife and a doula are not examples of technological care.
Rationale 3: Fathers‘ being present during labor and coaching their partners represents
nontechnological care during childbirth.
Rationale 4: Breastfeeding is not an example of technology impacting care.
Question 4
A nurse is examining different nursing roles. Which example best illustrates an advanced practice
nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
TB
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for
high-risk infants
Ac
4|Page
er
